Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis

The literature review presents modern aspects of the etiology and pathogenesis of vulvovaginal candidiasis, highlights issues of immunological resistance and the significance of polymorphic and pathological gene loci, the functioning of which leads to insufficient activation of the immune system in...

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Main Authors: Margarita R. Rakhmatulina, Elena V. Lipova, Viktoria A. Nyanenko
Format: Article
Language:English
Published: State Scientific Center of Dermatovenereology and Cosmetology 2024-12-01
Series:Vestnik Dermatologii i Venerologii
Subjects:
Online Access:https://vestnikdv.ru/jour/article/viewFile/16820/pdf
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author Margarita R. Rakhmatulina
Elena V. Lipova
Viktoria A. Nyanenko
author_facet Margarita R. Rakhmatulina
Elena V. Lipova
Viktoria A. Nyanenko
author_sort Margarita R. Rakhmatulina
collection DOAJ
description The literature review presents modern aspects of the etiology and pathogenesis of vulvovaginal candidiasis, highlights issues of immunological resistance and the significance of polymorphic and pathological gene loci, the functioning of which leads to insufficient activation of the immune system in the disease. The mechanisms of formation of biofilms by fungi of the genus Candida on mucous membranes and the role of lactobacillary microflora in preventing their spread, as well as ideas about the prerequisites for the development of vulvovaginal candidiasis are considered. The modern possibilities of drug therapy for vulvovaginal candidiasis, presented in domestic and foreign clinical recommendations, are discussed. The advantages of prescribing fenticonazole, which is active against various types of fungi of the genus Candida, as well as a wide range of anaerobes and microorganisms associated with bacterial vaginosis, are considered, and the results of studies on the effectiveness of the drug are analyzed.
format Article
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institution Kabale University
issn 0042-4609
2313-6294
language English
publishDate 2024-12-01
publisher State Scientific Center of Dermatovenereology and Cosmetology
record_format Article
series Vestnik Dermatologii i Venerologii
spelling doaj-art-941ae05c586e4d638889c992aeda1db42025-02-05T20:41:44ZengState Scientific Center of Dermatovenereology and CosmetologyVestnik Dermatologii i Venerologii0042-46092313-62942024-12-011006304010.25208/vdv168201312Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasisMargarita R. Rakhmatulina0https://orcid.org/0000-0003-3039-7769Elena V. Lipova1https://orcid.org/0000-0001-6490-9529Viktoria A. Nyanenko2State Research Center of Dermatovenereology and CosmetologyA.I. Burnazyan Federal Medical Biophysical CenterPirogov Russian National Research Medical University (Pirogov Medical University)The literature review presents modern aspects of the etiology and pathogenesis of vulvovaginal candidiasis, highlights issues of immunological resistance and the significance of polymorphic and pathological gene loci, the functioning of which leads to insufficient activation of the immune system in the disease. The mechanisms of formation of biofilms by fungi of the genus Candida on mucous membranes and the role of lactobacillary microflora in preventing their spread, as well as ideas about the prerequisites for the development of vulvovaginal candidiasis are considered. The modern possibilities of drug therapy for vulvovaginal candidiasis, presented in domestic and foreign clinical recommendations, are discussed. The advantages of prescribing fenticonazole, which is active against various types of fungi of the genus Candida, as well as a wide range of anaerobes and microorganisms associated with bacterial vaginosis, are considered, and the results of studies on the effectiveness of the drug are analyzed.https://vestnikdv.ru/jour/article/viewFile/16820/pdfurogenital candidiasiscandidaantimycotic therapyfenticonazole
spellingShingle Margarita R. Rakhmatulina
Elena V. Lipova
Viktoria A. Nyanenko
Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
Vestnik Dermatologii i Venerologii
urogenital candidiasis
candida
antimycotic therapy
fenticonazole
title Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
title_full Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
title_fullStr Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
title_full_unstemmed Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
title_short Pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
title_sort pathogenetic aspects and modern possibilities of therapy of vulvovaginal candidiasis
topic urogenital candidiasis
candida
antimycotic therapy
fenticonazole
url https://vestnikdv.ru/jour/article/viewFile/16820/pdf
work_keys_str_mv AT margaritarrakhmatulina pathogeneticaspectsandmodernpossibilitiesoftherapyofvulvovaginalcandidiasis
AT elenavlipova pathogeneticaspectsandmodernpossibilitiesoftherapyofvulvovaginalcandidiasis
AT viktoriaanyanenko pathogeneticaspectsandmodernpossibilitiesoftherapyofvulvovaginalcandidiasis